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1902007644
DANIEL GLEN VICKERS
EAST LANSING, MI
NPI
1902007644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 5101016856)
Enumeration Date
2007-05-30
Last Update Date
2016-04-12
Business Address
Mr. DANIEL GLEN VICKERS D.O.
138 SERVICE RD STE D100
EAST LANSING, MI 48824-1313
Phone number: 517-353-5053
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Mailing Address
Mr. DANIEL GLEN VICKERS D.O.
605 W WESTERN AVE
MUSKEGON, MI 49440-1080
Phone number: 231-722-6005
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